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FT. MYERS WOMEN'S HEALTH CENTER, INC.

Company Details

Entity Name: FT. MYERS WOMEN'S HEALTH CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 15 Sep 1976 (48 years ago)
Document Number: 515011
FEI/EIN Number 591701184
Address: 3677 CENTRAL AVENUE, SUITE H, FORT MYERS, FL, 33901, US
Mail Address: 2106 DREW STREET, 103, CLEARWATER, FL, 33765, US
ZIP code: 33901
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588812945 2008-08-28 2008-08-28 2106 DREW ST, STE 103, CLEARWATER, FL, 337653238, US 3900 BROADWAY, BLDG C, FORT MYERS, FL, 339018193, US

Contacts

Phone +1 727-442-0445
Fax 7274473797
Phone +1 239-936-4497
Fax 9419360161

Authorized person

Name MARISELLA MARENGO
Role BILLING AND CONTRACT MANAGER
Phone 7274420445

Taxonomy

Taxonomy Code 207VG0400X - Gynecology Physician
License Number 828
State FL
Is Primary Yes

Agent

Name Role Address
OWENS DEZRA Agent 2106 DREW ST, CLEARWATER, FL, 33765

Treasurer

Name Role Address
MILLER MELINDA R Treasurer 2106 DREW ST. #103, CLEARWATER, FL, 33765

President

Name Role Address
MYERS SANDRA President 2106 DREW ST #103, CLEARWATER, FL, 33765

Director

Name Role Address
MYERS SANDRA Director 2106 DREW ST #103, CLEARWATER, FL, 33765
DRESDEN GARY AMD Director 2106 DREW ST #103, CLEARWATER, FL, 33765
MILLER MELINDA R Director 2106 DREW ST. #103, CLEARWATER, FL, 33765

Vice President

Name Role Address
MILLER MELINDA R Vice President 2106 DREW ST. #103, CLEARWATER, FL, 33765

Secretary

Name Role Address
OWENS DEZRA Secretary 2106 DREW ST. #103, CLEARWATER, FL, 33765

Asst

Name Role Address
DRESDEN DARA R Asst 2106 DREW STREET, CLEARWATER, FL, 33765

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G93103000020 FT. MYERS WOMEN'S HEALTH CENTER ACTIVE 1993-04-13 2028-12-31 No data 2106 DREW STREET, SUITE 103, CLEARWATER, FL, 33765, US

Events

Event Type Filed Date Value Description
AMENDMENT 2020-09-14 No data No data

Date of last update: 01 Feb 2025

Sources: Florida Department of State